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Analyst, Revenue Cycle Management – Managed Care
Compass Surgical Partners. Develop and maintain reporting on revenue cycle performance, including accounts receivable, collections, denials, aging, and reimbursement trends .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare revenue cycle management, including analysis of payer contracts, reimbursement methodologies, and financial modeling. Proficient in utilizing advanced analytics and AI tools to enhance reporting and operational efficiency while ensuring compliance with HIPAA standards.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementPayer Contract AnalysisAdvanced Microsoft Excel SkillsFinancial Data AnalysisHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Financial ModelingReimbursement AnalysisData ReconciliationClaims AnalysisPayment Variance AnalysisDenial ManagementAccounts Receivable ManagementForecastingDashboard DevelopmentContract Performance Evaluation
Soft Skills
Analytical JudgmentAttention to DetailEffective CommunicationCross-Functional CollaborationSound Judgment
Tools & Technologies
AI-Enabled ToolsAutomation ToolsBusiness Intelligence ToolsWorkflow ToolsAdvanced Analytics
Industry Keywords
Healthcare FinanceManaged CareRevenue Cycle PerformancePayer Reimbursement MethodologiesHealthcare Data Confidentiality
About the role
Key responsibilities & impact- Develop and maintain reporting on revenue cycle performance, including accounts receivable, collections, denials, aging, and reimbursement trends
- Identify performance gaps and emerging risks and recommend improvements to financial outcomes
- Analyze denial patterns, payment variances, and collection trends to identify root causes and improvement opportunities
- Monitor revenue cycle metrics and provide insights to operational leadership
- Analyze payer contracts, reimbursement rates, fee schedules, and payment methodologies
- Identify and quantify reimbursement discrepancies, underpayments, and incorrect contract rate applications
- Develop financial models for payer contract negotiations, renewals, and reimbursement changes
- Evaluate payer mix, service line performance, and reimbursement scenarios
- Support budgeting, forecasting, growth initiatives, portfolio performance, and strategic analysis with Finance and Corporate Development
- Analyze claims, reimbursement, procedure-level, and specialty data to develop projections and identify risks
- Translate complex datasets into recommendations for business and operational leaders
- Maintain payer, contract, and reimbursement data quality and consistency
- Streamline reporting, reduce manual work, and improve analytical efficiency
- Maintain confidentiality and comply with HIPAA and data governance standards
- Use AI-enabled tools, automation, and advanced analytics to accelerate analysis and improve reporting
- Evaluate workflows and develop scalable solutions that improve accuracy and consistency
- Validate automated and AI-generated outputs before using them in financial analysis or recommendations
- Apply safeguards when handling sensitive financial, payer, or protected healthcare information
Requirements
What you’ll need- Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Analytics, Economics, Information Systems, or a related field
- Experience in healthcare revenue cycle management, managed care, reimbursement analysis, healthcare finance, or a closely related analytical function
- Working knowledge of healthcare revenue cycle processes, including claims, payment posting, denials, collections, and accounts receivable
- Understanding of payer reimbursement methodologies, contract rates, and reimbursement variance analysis
- Experience analyzing financial or operational data and translating findings into actionable recommendations
- Advanced Microsoft Excel skills, including formulas, lookups, pivot tables, data reconciliation, and analysis of large datasets
- Strong analytical judgment, attention to detail, and ability to communicate effectively with cross-functional stakeholders
- Understanding of healthcare data confidentiality and HIPAA requirements
- Experience using AI, automation, business intelligence, or workflow tools to improve analysis and reporting
- Ability to evaluate new technologies and apply them thoughtfully to practical business challenges
- Sound judgment when validating AI-generated outputs and handling sensitive healthcare information
- Preferred: Experience supporting ambulatory surgery centers, hospital outpatient departments, physician practices, or multisite healthcare organizations
- Preferred: Experience with payer contract modeling, fee schedule analysis, reimbursement methodologies, or contract performance evaluation
- Preferred: Experience analyzing accounts receivable, denials, collections, payment variances, or other revenue cycle performance indicators
- Preferred: Familiarity with healthcare financial reporting, forecasting, and dashboard development
- Must be eligible to work in the United States; visa sponsorship question is included in the application
Benefits
Comp & perks- Compensation varies by work location, relevant skills, experience, education or training, and company and individual performance
- Remote work arrangement